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Table 2 Total HIV self-testing costs per model and average costs along the client care cascade (in 2020 US$)

From: Costs of distributing HIV self-testing kits in Eswatini through community and workplace models

 

Community

Workplace

Total

Costs

%

Costs

%

Costs

%

Input types

Start-up

  Training

$366

0%

$47

0%

$413

0%

  Sensitization

$482

0%

$482

1%

$963

0%

Capital

  Building & storage

$2,852

1%

$592

1%

$3,444

1%

  Equipment

$502

0%

$104

0%

$606

0%

Start-up and Capital - sub-total

$4,202

2%

$1,225

2%

$5,427

2%

Recurrent

  Personnel & Per diems

$164,821

60%

$34,181

13%

$199,003

60%

  Volunteers & Per diems

$313

0%

$200

0%

$513

0%

  HIVST Kits

$86,373

32%

$17,920

31%

$104,293

32%

  Other Supplies (excluding HIVST kits)

$2,143

1%

$445

1%

$2,588

1%

  Vehicle operation, maintenance & transport

$6,158

2%

$ 1,616

3%

$7,774

2%

  Building operation/maintenance

$1,877

1%

$389

1%

$2,266

1%

  Other recurrent

$6,796

2%

$1,410

2%

$8,206

2%

Recurrent - sub-total

$268,482

98%

$56,161

98%

$324,643

98%

Total HIVST costs

$272,684

$57,386

$330,070

Cost per kit distributed

$17.19

$17.44

$17.23

Cost per client self-tested

$18.77

$19.56

$18.91

Cost per client self-tested reactive

$526.86

$497.69

$521.54

Cost per client confirmed HIV positivea

$556.34

$526.10

$550.83

Cost per client initiating ARTb

$713.54

$685.04

$708.60

  1. HIVST HIV self-testing, ART Antiretroviral treatment
  2. aIncludes estimated $6 cost of facility-based confirmatory testing with rapid tests [13]
  3. bIncludes estimated $55 cost of an ART initiation visit [14]